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Flashcards in Conditions summary Deck (69):
1

non blanching rash

bacterial meningitis

2

sunken fontanelle (in skull)

dehydration

3

definition of prolonged jaundice

>14 days (or >21 days if preterm)

4

holoprosencephaly definition

failure of brain vesicles to form

5

school age kid
inattentive
hyperactive
impulsive behaviour

ADHD

6

ADHD treatment (3)

CBT
methylphenidate
atomoxetine

7

genetic problem
developmental delay, learning difficulties
large tongue
sandal gap between toes
low set ears
brushfield spots (white) on eyes

downs syndrome (trisomy 21)

8

patau syndrome chromosome

chromosome 13

9

Edwards syndrome chromosome

chromosome 18

10

regression in development (child looses previously attained developmental milestones)

hunters syndrome

11

what are the 3 domains that an autistic child struggles with

communication - eg lack of eye contact
social interaction - difficulty with turn taking, poor relationships
imagination - like ritualistic behaviours

12

kid with poor eye contact
likes ritualistic behaviours
fussy eater
poor personal hygiene
spinning to noise of washing machine
tiptoe walking

autism spectrum disorder

13

how is asbergers different to autism

form of autism where the only problem is social communication

14

premature baby
resp problem
CXR - ground glass appearance

respiratory distress syndrome

15

which virus causes bronchiolitis

RSV

16

<1 year old
poor feeding
wheeze
runny nose

bronchiolitis

17

difficulty swallowing
stridor
fever
unvaccinated
head XR - thumbprint sign

epiglottitis

18

which bacteria causes epiglottitis

haem influenza B (bc its in kids)

19

epiglottitis treatment

ceftriaxone IV (Ceftriaxone bc its in Children)

20

what differentiates pneumonia from normal infections in kids

high fever

21

cold like symptoms
barking cough followed by inspiratory 'whoop'
vomiting

whooping cough (pertussis)

22

which virus causes croup

parainfluenzae virus

23

baking/harsh cough
sounds like seal
sudden onset (overnight)
stridor
CXR - 'steeple' sign

croup

24

which type of vasculitis presents in kids

IgA (henoch schnlein purpura)

25

kid with URTI then a rash on legs 1-3 weeks later

IgA henoch schnlein purpura vasculitis

26

webbed neck
wide spaced nipples
horse shoe kidney
genetic condition

turners syndrome XO

27

massive parotid swelling caused by viral

mumps

28

maculopapular rash over body
fever
cough
small white lesions in oral mucosa

measles

29

painful lesions around mouth with gold crust

impetigo from staph aureus (treated with flucloxacillin)

30

post natal (hence mums need to be vaccinated) viral infection
generalised maculopapular rash
swelling
fever

rubella

31

between which times is jaundice in a new born normal

24 hours - 2 weeks

32

jaundice <24 hours after birth

haemolysis (eg haemolytic disease of newborn, sepsis)

33

what is haemolytic disease of the newborn

when mothers Rh/Ig (?? something like this) is different to kids

do coombes test

34

2-6 weeks old
feeding well bc hungry
projectile vomiting foodstuffs
weight loss
abdo mass

pyloric stenosis

(vomiting foodstuffs = obstruction at stomach = PYLORIC stenosis)

35

6 months old
vomiting
no stools
pulls legs up after feeding
'red currant' stained nappy(PR blood)

intussusception

36

6 years old
pain in umbilicus (dull and achy) then RIF (sharp pain)
nausea
vomiting

appendicitis

37

6 years old
generalised abdo pain
painful going over bumps in car

peritonitis (maybs from appendicitis?)

38

investigation and treatment for pyloric stenosis

ultrasound for thickness of muscle
pyloromyotomy (surgery to cut the muscle = stretch it)

39

what is the folding in/telescoping of the ileocaecal valve in the bowel bc of over active lymphoid tissue called

intussusception

40

intussusception investigation and treatment

ultrasound

treatment - pump air into anal passage OR surgery to unravel folds

41

vomiting green bile

malrotation of the gut

(vomiting bile bc the problem is below the bile duct)

42

treatment of malrotation of the gut

EMERGENCY surgery

43

treatment of constipation in kids

laxatives
go to toilet after meals
high fibre diet, lots of water

44

dysuria (pain when peeing)
fever
vomiting
irritable

UTI

45

neonate
acute onset scrotum pain
red
bruising
systemically unwell (nausea, vomiting) - always look under nappy!

testicular torsion

46

testicular torsion treatment

emergency surgery

47

less severe version of testicular torsion
blue dot on inspection

testicular appendix torsion (aka mullerian duct remnants)

48

what presents similar to testicular torsion (dysuria, red, hot, swollen, painful) but you can only tell the difference during surgery

epididymitis

49

treatment of epididymitis

antibiotics (ofloxacin)

50

if you cant see boy testes at birth what do you do

feel along inguinal canal for them

if you cant find them = surgery, need to find them incase they become malignant!!

51

red, swollen, itchy testicles/groin
water filled

idiopathic scrotal oedema

52

what is paraphimosis

swollen foreskin

53

what is hydrospadias
aetiology
treatment

congenital disorder
urinary opening not where it normally is
get surgery

54

seizure/loss of consciousness after crying

breath holding attack

55

collapse when kid is playing sport

arrhythmia/cardiac issue

56

1-5 y/o
<5 minute seizure, fine before and after
fever

febrile convulsion

57

treatment of febrile convulsion

treat fever

58

cause of febrile convulsion

something that has caused a fever (eg infection)

59

what is wrong with someone with epilepsy

lower thresholds for seizures than other people

60

does epilepsy occur with or without a fever

either

61

what is commonly mistaken for epilepsy

gratification disorder

62

what is gratification disorder

masturbation in child 3 months - 3 years

63

treatment of gratification disorder

nothing, reassure parents its normal

64

which age groups does meningitis occur in

<5
15-24

65

what is meningitis

infection of the meninges (brain lining)

66

what is encephalitis

meningitis + brain involvement

67

antibiotic for meningitis

ceftriaxone

68

abnormal cry (weak, high pitched, continuous)

think sepsis

69

treatment of sepsis in kids

same as sepsis in adults (sepsis 6 BUFALO)